Individual
MR. GARY H CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 STATE HIGHWAY 30 W, NEW ALBANY, MS 38652-3112
(662) 538-2370
Mailing address
4810 STONEBRIDGE CV, TUPELO, MS 38801-9499
(662) 841-2858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R743486
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125903
—
MS
Enumeration date
10/10/2006
Last updated
07/08/2007
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